JESSICA DETERMAN (NPI# 1699334904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699334904 |
| Entity Type | Individual |
| Full Name | JESSICA DETERMAN |
| Credential | CPNP |
| Practice Address |
205 Wabasha St S Saint Paul MN 55107-1805 |
| Mailing Address |
Po Box 1309-mail Stop 21110q Minneapolis MN 55440-1309 |
| Practice Telephone | 6512938100 |
| Practice Fax Number | 6512938100 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
6515 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 WABASHA ST S |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184078 | Chokchai Chareandee | Internal Medicine | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2005-06-14 |
| 1326517541 | Julian Andres Larrea Saavedra | Physician Assistant | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-11-16 |
| 1053818252 | Mackenzie Thayer | Student in an Organized Health Care Education/Training Program | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-04-12 |
| 1215436076 | Mardiya Kassim Jaffer | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-02-07 |
| 1023522877 | Samantha Zarske | Physician Assistant | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-11-30 |
| 1184134173 | Ghada Elnashar | Pharmacist | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-10-04 |
| 1972022267 | Allison Brooks | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-09-18 |
| 1982132536 | Erin Galegher | Advanced Practice Midwife | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-05-26 |
| 1679016000 | Juliana Huber | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2016-12-03 |
| 1386006773 | Betsy Dickson | Obstetrics & Gynecology | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| 1366819609 | Brittany Leach | Advanced Practice Midwife | 624 Smith Ave S, Saint Paul, MN 55107 | 2015-08-21 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
| 1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
| 1811323348 | Karen Kay Hoyer | Nurse Practitioner | 310 Smith Ave N Ste 480, Saint Paul, MN 55102 | 2013-09-16 |
| 1043323678 | Kimmy S Oberstar | Nurse Practitioner | 360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102-2567 | 2006-08-17 |
| 1255353843 | Kimberly Lynn Berg | Nurse Practitioner | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2006-07-24 |
| 1194788810 | Janet Lowe | Nurse Practitioner | 360 Colborne St, Saint Paul, MN 55102-3228 | 2006-04-11 |
| 1184236739 | Anna Rauch | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-08-17 |
| 1104388644 | Cassandra Hoshor | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-04-03 |
| 1083191522 | Ikran Omar Hussein | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-07-27 |
| 1578067039 | Alison Beth Wohlhuter | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-20 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55107 |
Please comment or provide details below to improve the information on JESSICA DETERMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.